| NPI | 1952449217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 026403-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 02640321) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-07-22 |